FORM 1023-EZ for MARY LENAS HAVEN AND HELP CENTER INCORPORATED

Field Data
EIN 82-4975495
Case Number EO-2020224-000587
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARY LENAS HAVEN AND HELP CENTER INCORPORATED
Organization’s Mailing Address 612 BROGDEN STREET
City DUDLEY
State NC
ZIP 28333
Accounting period End 12
Primary contact name TAMIKA C WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMIKA WALLACE
EXECUTIVE DIRECTOR/CHAIRPERSON
612 BROGDEN STREET
DUDLEY NC 28333

Officer/Director/Trustee Two

MONTRELL LOFTON
TREASURER
7505 FAIRLAWN DRIVE APT 201
RALEIGH NC 27560

Officer/Director/Trustee Three

LAKISHA KING
SECRETARY
103 CHERYL DRIVE
DUDLEY NC 28333

Officer/Director/Trustee Four

YOULONDA WYNN
BOARD MEMBER
400 HUNTERS CREEK
GOLDSBORO NC 27534

Officer/Director/Trustee Five

PEGGY SANDERS
BOARD MEMBER
702 S HARDING DR APT E3
GOLDSBORO NC 27534

Organization’s website
Organization’s email MARYLENA.HELPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2018
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMIKA WALLACE
Signature Title EXECUTIVE DIRECTOR/CHAIRPERSON
Signature Date 8/7/2020

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